Individual provider Active NPI

Mark A Giarrizzi, PAC

  • Physician Assistant
  • Rock Hill, SC
National Provider Identifier
1376558007
Registry record updated Oct 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1098 Issued in SC
Practice address
760 Addison Ave
Rock Hill, SC 29730
Phone
(803) 329-1930
Fax
(803) 328-2549
NPI assigned
Jul 30, 2006
Last updated
Oct 26, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 1098 SC Primary

Addresses

Primary practice location

760 Addison Ave
Rock Hill, SC 29730

Mailing address

760 Addison Ave
Rock Hill, SC 29730
Phone (803) 329-1930

Other identifiers 1

IdentifierTypeStateIssuer
0433PAMedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, NC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20060828000043 SC Practitioner - Physician Assistant 3173540655 Reassigns benefits to 2 organizations
I20130123000032 NC Practitioner - Physician Assistant 3173540655 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Infinite Wellness of the CarolinasGroup PAC ID 2466605662, 6 clinicians

Practice addresses (Care Compare)

103 Country Club Dr NE
Concord, NC 28025-2935
Phone (704) 792-2200

2160 Commerce Dr
Suite B
Monroe, NC 28110-2839
Phone (704) 282-9300

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lifesource Prime Inc CurrentSince Aug 1, 2024 Accepting new patients
Lifesource of North Carolina Physician Assistant CurrentSince Nov 12, 2021 Accepting new patients
Lifesource of North Carolina Physician Assistant CurrentSince Nov 15, 2021 Accepting new patients
Lifesource Prime Inc Physician Assistant CurrentSince Aug 1, 2024 Accepting new patients
Infinite Wellness of the Carolinas CurrentSince Jan 1, 2013 Accepting new patients
Lifesource of North Carolina Physician Assistant CurrentSince Nov 12, 2021 Accepting new patients
Piedmont Physician Network LLC Physician Assistant Past Accepting new patients
Piedmont East Urgent Care Center LLC PastSince Sep 3, 2013 Accepting new patients
Piedmont Urgent Care Center at Baxter Village LLC Past Accepting new patients

Locations

103 Country Club Dr NE
Kannapolis, NC 28025
Phone (704) 721-4232

2160 Commerce Dr
Ste B
Monroe, NC 28110
Phone (704) 282-9300

3205 Randall Pkwy
Ste 105
Wilmington, NC 28403
Phone (910) 338-2880

1915 Ebenezer Rd
Rock Hill, SC 29732
Phone (305) 866-9951

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14929/brand/3/csg/1/fhir/r4

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193356800000",
    "number": "1376558007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "760 ADDISON AVE",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "29730",
            "telephone_number": "803-329-1930",
            "fax_number": "803-328-2549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760 ADDISON AVE",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "29730",
            "telephone_number": "803-329-1930",
            "fax_number": "803-328-2549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIARRIZZI",
        "first_name": "MARK",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-30",
        "last_updated": "2007-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "1098",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0433PA",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Hill, SC

Sources for this page

Verify at the official NPI Registry.